摘要
目的分析一组老年冠状动脉（冠脉）搭桥手术患者围手术期的并发症，为减少手术治疗的并发症及病死率提供参考资料。方法总结１３例老年冠脉病变患者术前及围手术期的基础条件和手术情况，分析发生并发症的原因和围手术期处理不足之处的因素。结果６例出现并发症，其中２例较轻，分别为哮喘、术后渗血；４例较重，１例为肺间质水肿，２例低心排血量综合征、心源性哮喘，１例失血性休克导致多器官功能衰竭而死亡。结论减少并发症是降低病死率的重要措施。为此，术前必须最大限度地改善老年患者全身情况；术中应根据冠脉病理解剖变化，彻底再血管化，加强心肌保护，提高手术质量和缩短阻断时间；术后加强监护，及时采取预防措施。
Objective\ To analyze the cause of perioperative complication in aged patients undergo ing coronary artery bypass graft(CABG)so as to reduce the complications and mortality of surgical treatment.\ \ Methods\ The basic and perioperative condition of 13 aged patients with corona ryartery disease were studied.The causes of postoperative complications were analyzed and some inade quacies in postoperative management were reevaluated.\ \ Results\ Postoperative complications oc curred in 6 cases.There were 2 mild with asthma in one and oozing from surgical incision in another.Four serious ones were pulmonary edema in one,low cardiac output in two and massive bleeding in on edied of circulatory failure resulting from multiple systematic organ failure.\ \ Conclusions\ To reduce the postoperative complicationsis very important in lowering operative mortality in aged patients under going CABG.In doing so,the patients biophysiological and pathophysiological conditions,pathoanato my of the coronary arteries,myocardial protection,aorta cross clamping time and intensive postoperative care have to be carefully evaluated and well prepared to meet the perioperative demands.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1997年第3期168-170,共3页
Chinese Journal of Geriatrics
